Tag: Health and wellbeing

Scottish Children’s Services Coalition: Scottish Government child mental health spending target now impossible to meet

The Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, has warned that a Scottish Government commitment to allocate 1 per cent of frontline NHS spending to child and adolescent mental health services (CAMHS) by the end of the previous parliamentary term in 2026 is now IMPOSSIBLE to meet.

Figures from Public Health Scotland for financial year 2024/25, published today (11th August), show that spending on CAMHS accounted for 0.84 per cent of frontline NHS expenditure, up from 0.81 per cent in 2023/24 and 0.75 per cent in 2022/23 (see Notes to Editors).

Spending on CAMHS in 2024/25 stood at just over £146.5 million, an increase of £12.5 million from just over £134 million in 2023/24. Given the scale of the remaining gap, it is now impossible to see how the 1 per cent target id to be achieved in 2025/26, the final year of the previous parliamentary term.

A separate commitment to allocate 10 per cent of frontline NHS expenditure to mental health services more broadly also looks unlikely to have been met. The latest figures show that this stood at 9.14 per cent in 2024/25, compared with 9.03 per cent the previous year and 8.53 per cent in 2022/23.

The commitments to direct 1 per cent of frontline NHS spending specifically to CAMHS and 10 per cent to mental health services overall were made in the Scottish Government’s 2021 Programme for Government.

When the commitments were made, in financial year 2021/22, spending stood at 0.66 per cent for CAMHS and 8.66 per cent for mental health services more broadly.

While spending has increased since then, the pressures on children and young people have also intensified. The long shadow of the Covid pandemic, the cost-of-living crisis and persistent poverty in Scotland’s most economically disadvantaged communities have all contributed to the scale of the mental health challenge.

With the Scottish Government’s Programme for Government due in September, the SCSC notes that this is a critical opportunity to reaffirm these commitments and set out a clear and credible plan for delivering them.

A spokesperson for the SCSC said: “While there has been progress in increasing investment, the figures are clear: the Scottish Government is falling short of its commitment to spend 1 per cent of frontline NHS expenditure on children and young people’s mental health services. The wider commitment to spend 10 per cent on mental health services also remains unmet.

“These targets matter. They reflect the scale of investment needed to address Scotland’s growing mental health challenges and ensure that children and young people can access the support they need, when they need it. Against the continuing impact of the pandemic, the cost-of-living crisis and poverty, the need for action has never been more urgent.

“With the Scottish Government’s Programme for Government due in September, there is a critical opportunity to reaffirm these commitments and set out a clear and credible plan for delivering them. We urgently need to see the necessary investment put in place to meet the 1 per cent CAMHS and 10 per cent wider mental health spending targets.

“But increased spending must go hand in hand with a decisive shift towards prevention and early intervention. Mental health needs to be at the heart of policymaking across government, tackling the underlying causes of poor mental health and ensuring support is available before children and young people reach crisis point.

“The Programme for Government must therefore turn these commitments into action. Scotland’s children and young people cannot afford further delay.

“Meeting these spending targets must be treated as a priority, backed by sustained investment and a clear timetable for delivery.”

People in Edinburgh encouraged to check their risk of developing type 2 diabetes

  • 7 in ten people (71%) have not checked their risk, with confusion and a lack of awareness preventing people from taking action
  • Of those who have not checked their risk, almost a quarter (24%) do not know how to check, and over a quarter (27%) do not believe they are at risk.
  • Nearly half of Brits (48%) are unaware that they can check their type 2 diabetes risk online through Diabetes UK Know Your Risk Tool.

Tesco and Diabetes UK are encouraging people in Edinburgh to take a simple step towards understanding their health after new UK research revealed that four in ten adults (42%) have never thought about their risk of developing type 2 diabetes.

The survey of 2,000 UK adults also found that seven in ten people (71%) have not checked their risk of developing type 2 diabetes, despite the condition affecting millions of people across the UK.

Type 2 diabetes is a serious condition that can lead to life-changing complications, including heart disease, stroke and sight loss if left undiagnosed or unmanaged. However, with the right support, many cases can be prevented or delayed, making early awareness and action particularly important.

The findings suggest many people may be missing opportunities to understand their risk or the support to make changes. Among those who have not checked their risk, more than a quarter (27%) say it is because they do not believe they are at risk, while almost a quarter (24%) say they would not know how to check.

The survey also uncovered confusion about what influences a person’s likelihood of developing type 2 diabetes, with one in five people (21%) saying they do not know enough about type 2 diabetes risk to identify risk factors involved.

Age, ethnicity, family history, weight and other health factors can all affect risk, but only 28% of respondents identified this broader combination of factors.

This reflects wider misconceptions about the condition, with separate CharityTracker data showing that 36% of people believe eating too much sugar is the main cause of diabetes and 37% believe people develop type 2 diabetes because of their lifestyle choices.

Tom Lye, Category Director for Health and Wellness at Tesco, said: “We know that taking steps to understand your health can sometimes feel daunting, which is why we want to make support as accessible as possible.

“Through our partnership with Diabetes UK, we’re encouraging people to use the free Know Your Risk tool to better understand their risk of type 2 diabetes.

“If customers have concerns or questions, our trained pharmacy colleagues are on hand in over 350 Tesco Pharmacies to offer advice and support.”

Douglas Twenefour, Head of Clinical at Diabetes UK, said: “Around 6.9 million people in the UK are at increased risk of type 2 diabetes, but taking small steps can make a big difference.

“Diabetes UK’s free, online Know Your Risk tool can help you understand your risk in just a few minutes, and offers advice on how to reduce it if needed. Through our partnership with Tesco, we’re making it easier for people to access vital information and support in their local communities.”

Although lack of awareness remains the biggest barrier, the survey also suggests that concern and embarrassment may prevent some people from learning more about their risk. Among those who have not checked their risk, 14% say they worry about what the result might be, while around one in ten worry about being judged because of their weight, diet or health behaviours (9%) or feel embarrassed discussing their risk (8%).

There are tools and support out there, but nearly half of UK adults (48%) said they were unaware that they could check their type 2 diabetes risk online or had not heard of the Diabetes UK Know Your Risk Tool.

However, the findings also suggest people are open to getting support in familiar, accessible settings, with 80% saying they would feel comfortable speaking to a pharmacist about their risk of developing type 2 diabetes.

To help people better understand their likelihood of developing type 2 diabetes, Tesco and Diabetes UK are encouraging people to use the free online Diabetes UK Know Your Risk tool.

The simple online assessment takes just a few minutes to complete and can help identify whether someone may be at increased risk of developing the condition, as well as signposting them to further support where appropriate.

Customers who have concerns about their risk, symptoms or diabetes more generally can also speak to a trained pharmacist in store at more than 350 Tesco Pharmacies across the country.

People can find out more and access the Diabetes UK Know Your Risk tool at riskscore.diabetes.org.uk/tesco

Marlene Goncalves, 40, from Shropshire was diagnosed with prediabetes in February 2023 but has since reversed it after taking action to adjust her diet and exercise routines.

Marlene said: “Knowledge is power, and knowing you’re at higher risk of type 2 diabetes is incredibly important in helping to prevent it developing.

“Having that knowledge and knowing you’re at increased risk, will help inform decisions and adopt healthier behaviours that can reduce or even prevent the progression to prediabetes and type 2 diabetes.

“My advice to anyone who feels apprehensive or scared about checking their risk is simple: choose to know. While it can feel daunting, the knowledge you gain has the potential to be life-changing.

“Understanding your health and any associated risks is empowering.

“It gives you the opportunity to make informed decisions, take positive action and improve your health.”

‘Privatisation of Social Care has failed Edinburgh’

END THE “MARKETISED FAILURE” OF SOCIAL CARE WITH A PUBLICLY OWNED NATIONAL CARE SERVICE, DEMAND COMMUNISTS

THE Communist Party of Britain (CPB) has spoken out on social care policy in its campaign for the upcoming City of Edinburgh Council by-elections, taking aim at the “marketised failure” of privatised care services. 

Standing candidates Richard Shillcock (Southside/Newington ward) and Peter Olech (Portobello/Craigmillar ward), the party is offering a distinct socialist alternative to the mainstream parties ahead of the vote on Thursday, 3 September 2026.

The Communists argue that Edinburgh’s current social care landscape—deeply reliant on private contractors and plagued by low wages—is failing both the vulnerable and the workforce. 

The party is campaigning for a structural overhaul that mirrors the founding principles of the National Health Service (NHS): care that is fully nationalised, universally accessible, and free at the point of use.

A Local Blueprint for a National Care Service

The Communist campaign in Edinburgh centres on three localised demands designed to reverse decades of council privatisation and outsourcing:

  • Insourcing Care Services: Bringing outsourced adult social care contracts back under NHS and local authority management, creating a pathway toward a unified National Care Service.
  • Ending Low Pay and supporting Union Bargaining for Care Workers: Ending the exploitation of a predominantly female and ethnic minority workforce by establishing standardised council contracts. These will guarantee decent wages, fully compensated travel time, paid sleep-ins, and robust sectoral collective bargaining.
  • Funding People Not War: Rejecting regressive local taxes or service cuts. The party calls for the expansion of municipal budgets by taxing the city’s vast private corporate wealth and shifting resources away from international military spending toward vital local services.

Peter Olech, Communist Party candidate for Portobello/Craigmillar, said: “Edinburgh is a city of immense, concentrated wealth, yet our social care infrastructure is crumbling and working-class communities are paying the price. 

“Turning care into a profit-driven market has driven down wages for care workers and diminished the quality of life for those needing support.

“We are standing to ensure care is treated as a fundamental human right, managed for the many rather than corporate shareholders.”

Richard Shillcock, Communist Party candidate for Southside/Newington, said: “The choice facing Edinburgh voters on 3 September is simple: welfare or warfare. 

“While mainstream parties manage austerity and watch our social care system fracture, we demand that Edinburgh Council takes direct responsibility for our local public services. 

“We could fully fund a dignified, publicly owned care system and reverse years of devastating budget cuts if we prioritised investing in people.”

The local by-elections were triggered following the resignation of two local SNP councillors who were recently elected as MSPs to Holyrood. 

The Communist Party urges voters across Southside/Newington and Portobello/Craigmillar to use their ballot papers to reject performative political tinkering and demand real, socialist structural change for Edinburgh’s working class.

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Community Dementia Day at The Craighall Centre

WEDNESDAY 26th AUGUST from 10am – 3.30pm

Anyone affected by dementia is welcome to attend a community dementia day on Wednesday, 26 August, 2026 at the Craighall Centre, 210 Ferry Rd, Edinburgh from 10am to 3.30pm.

There will be a range of healthcare professionals on hand to give advice and information, see our website for more info:

https://www.edinburghhsc.scot/dementia_day_2026/

People with dementia and their family or carers are welcome to attend the community dementia day event on Wednesday, 26 August, 2026.

Those with the condition, worried about their memory or waiting for a formal diagnosis, are welcome to attend at the Craighall Centre, 210 Ferry Rd, Edinburgh from 10am to 3.30pm.  

There will be a range of healthcare professionals on hand to give advice and information including Occupational Therapists, Physiotherapists, Speech and Language Therapists, Dieticians, Podiatrists and Music Therapists.

There will also be stalls from organisations, such as Alzheimer Scotland, VOCAL, Meeting Centres and Edinburgh Leisure.

The event will be held in the large hall in the Craighall Centre, at the opposite end of the building to the Memory Assessment and Treatment Service. It has a separate entrance which will be signposted.

  • There is limited parking at the centre, but free on-street parking is available nearby.
  • The number 14 and 21 buses stop outside the centre
  • Refreshments will be available
  • For more information phone Morna Russell on 0131 286 9620

ASH Scotland invites Edinburgh residents to take Nicotine Use and Mental Health survey to help inform new support resources

ASH Scotland is inviting people of all ages in Edinburgh to share their experiences of mental wellbeing and use of tobacco and nicotine products.

The health charity’s nicotine use and mental health survey is being launched at a time when the issue of nicotine addiction is causing an increase public health concern.

Anecdotal evidence shared with ASH Scotland’s Youth Conservations Hub suggests that many children and young people are using nicotine as a way of coping with anxiety, stress or low mood.

Responses to the survey, which is open until 1 February 2027, will help inform the charity about future resources that are needed to support people addicted to nicotine to reduce their intake to improve their mental wellbeing.

Sheila Duffy, Chief Executive of ASH Scotland, said “There continues to be a huge data gap in Scotland enabling us to see trends of nicotine use and how it impacts people’s mental health.

“By responding to ASH Scotland’s survey, Edinburgh residents can help us to better understand how mental health connects with nicotine use, and identify the types of information and support that can encourage people to make positive choices to protect their mental health.

“It is vital that people in Edinburgh can access robust, evidence-based information and support to empower them to make informed decisions about their health and wellbeing.”

To respond to the survey, visit www.ashscotland.org.uk/survey.

New programme at Dr Bell’s

📣Our new programme is live! 📣

If you live in the Leith Community, have at least one child under the age of 5 or an expectant parent then you can sign up to some of our fantastic groups.

To sign up for our groups please follow the link –

https://www.eventbrite.co.uk/…/dr-bells-family-centre…

Children First offers ‘lifeline’ support for parents and carers as children head back to school

As children across Edinburgh head back to school this week, Children First is reminding parents and carers that support is available now and all year round for families facing challenges.

The start of a new school year can be an exciting time, but it can also bring additional pressures for children and families. For some, returning to routines, managing anxiety, navigating friendships, dealing with financial worries or accessing the right support can feel overwhelming.

Children First’s support line offers free and confidential practical, emotional and financial support to families across Scotland. Parents and carers can contact the team at any time on 08000 28 22 33 or through webchat.

The charity’s support line has seen increasing demand, with close to 14,000 people* benefiting from support over the past year with concerns including mental health, money worries, family relationships and online harm.

Mum Laura and her son Sean** recently received support from Children First after facing challenges at home. Laura described the service as a “lifeline during a very difficult time”.

She said: “From the beginning, the support I received made a significant difference. My support line worker, Jenny, immediately understood our situation and provided advice that was practical, relevant and completely tailored to what was actually happening at home.

“For the first time in many years of seeking help, I felt truly listened to and supported with guidance I could realistically put into practice.

“I genuinely cannot say enough about how much this support has helped. The support has been consistent, thoughtful and effective and has made a lasting difference to both my life and my son’s.”

Children First’s chief executive, Mary Glasgow, added: “Children First’s support line regularly hears from parents and carers from across Edinburgh that are finding raising their babies, children and teenagers harder than ever.

“The return to school can bring a mix of emotions for children and families. While some children look forward to seeing friends and getting back into a routine, others may feel anxious, worried or unsure about the months ahead.

“Whatever challenges families are facing, Children First are here to help. Our support line team provides compassionate, expert support on a wide range of issues, including financial worries, mental health, family relationships and accessing practical support.

“You don’t have to wait until things feel overwhelming to reach out. If you’re unsure where to turn, we’re here for you.”

Children First helps children, their families and the people that care for them by offering emotional, practical, and financial support in their homes, communities and through its national support line.

Visit www.childrenfirst.org.uk/supportline to start a webchat with one of the team and find out more.

Edinburgh schools urged to turn leftover holiday money into meals for hungry children

Edinburgh back-to-school appeal: Schools urged to turn leftover holiday money into meals for hungry children

As kids prepare to go back to class after the summer holidays, schools across Edinburgh are being encouraged to launch foreign currency collections and turn leftover coins and notes into meals for hungry children.

Through Mary’s Meals, even the smallest amount can have a life-changing impact on hungry children living in some of the world’s poorest communities. It costs just 10p to provide a nutritious meal in a place of education, while only £19.15 provides meals for a child for a whole school year.

The school feeding charity is calling on schools to start foreign currency fundraisers and asking parents to check pockets, purses and wallets for forgotten holiday money that can be sent into school with their children for the start of the new term.

St Richard’s Catholic College in East Sussex has run foreign currency collections since 2024, generating £733 for Mary’s Meals, enough to feed 38 hungry children for a full school year.

Lidia Mead, Subject Leader for RE at St Richard’s, says: “I am always blown away by the amount we collect through foreign currency collections. We all have some leftover money from our holidays, and what better way to get rid of it than to help feed children – an amazing, simple idea.”

As well as raising vital funds for Mary’s Meals, Mrs Mead believes the collections have a lasting impact on her students.

She adds: “They do a huge amount of charity work through the likes of cake sales and raffles, but this way of fundraising is different. Pupils know the money is turned into meals for children, which helps them realise the great work they are doing. Being able to feed a child for under £20 a year really puts things into perspective for them too.”

Mary’s Meals, founded in a shed in the Scottish Highlands in 2002, provides school meals to more than three million children in 16 countries, including Malawi, Zambia and Zimbabwe, every school day. The promise of a daily meal encourages children into the classroom, where they gain an education and hope for a better tomorrow.

Funds generated through a foreign currency fundraiser can help the charity reach children like seven-year-old Sitraka, a pupil at Sahafy Primary School in Madagascar. Like many in his community, Sitraka’s household faces hunger.

The introduction of daily school meals has transformed Sitraka’s life, as the meal he receives at school is sometimes the only meal he has all day. “The food at school is delicious,” he says, “but at home, we never have anything that tastes this good.”

This reliable access to food has significantly improved both Sitraka’s attendance and academic performance. Education is vital for Sitraka’s future; it paves the way for a stable job when he grows up, provides a ladder out of poverty for him and his family, and the prospect of a brighter future.

Schools can start making a difference today simply by requesting a free foreign currency pack on the Mary’s Meals website and galvanising parents and pupils to get involved.

Regional Development Officer at Mary’s Meals, Gerrard McMahon, says: “We’d love for your school to set up its own foreign currency collection! We’ll provide everything you need, including envelopes, a collection box and clear instructions. We accept coins and notes from any country, as well as old UK currency no longer in circulation.

“If you have old coins and notes sitting in drawers and wallets, don’t let them go to waste. Too often, hunger holds a child back from the future they deserve, keeping them out of school and communities stuck in a cycle of poverty… year after year. With the promise of a daily school meal, we can overcome this barrier and allow a child to unleash their full potential.”

For more information, visit www.marysmeals.org.uk/foreign-currency

It costs just £19.15 to feed a child for a year with Mary’s Meals. But a donation of any value can set a child up for life, with their success being the true legacy of your gift. It’s one school meal today – a teacher, community leader, or business owner tomorrow.

Life-saving defibrillators and bleed control kits now available at 15 Nationwide branches across Scotland

  • Life-saving equipment installed at 15 Nationwide Scottish branches, giving communities round-the-clock emergency access – Virgin Money branches to follow
    All branch colleagues given opportunity to complete training on how to use the equipment and respond in an emergency
  • Research reveals 88% of people in Scotland would feel safer knowing life-saving equipment is available locally
  • Since the pilot began in June, more than 225 defibrillators and bleed control kits have already been installed at branches across the UK, with 48 already activated – evidence of how vital this equipment is to local communities
  • People across Scotland now have access to potentially life-saving defibrillators and bleed control kits outside1 Nationwide branches in their communities as part of a major UK-wide rollout.

Nationwide, which has the UK’s largest branch network, has installed the publicly accessible equipment at 15 branches across Scotland, giving communities access to emergency equipment 24 hours a day, seven days a week.

The installations form part of Nationwide’s commitment to equip all 605 of its branches across the UK with defibrillators and bleed control kits by the end of the year, with Virgin Money branches set to follow.

The initiative is thought to be the UK’s largest-ever combined rollout of its kind and is being done in partnership with Visa, with St John Ambulance working alongside Nationwide to offer life-saving training for colleagues and local communities.

The need for the equipment, and training to use it, is highlighted by Nationwide’s research, which shows that 88 per cent of people in Scotland say they would feel safer knowing life-saving equipment is available in their local area. However, just 18 per cent say they would feel very confident using a defibrillator in an emergency.

The research also highlights that 90 per cent believe there should be more public access to defibrillators and 89 per cent support greater public access to bleed control kits.

Everyone who works at a Nationwide branch in Scotland also has access to the opportunity to complete specialist training developed by St John Ambulance – ensuring colleagues understand how to use a defibrillator, can respond to a severe bleeding incident and carry out cardiopulmonary resuscitation (CPR) while waiting for emergency services to arrive.

First aid advice on how to respond to a severe bleed, cardiac arrest, and how to use a defibrillator and what to do in the event of a severe bleed, is available on St John Ambulance’s website.

To help build public confidence, Nationwide is also working with St John Ambulance to deliver ‘Heart of Community’ volunteer-led sessions sharing life-saving skills to provide local people with the knowledge and confidence to use a defibrillator, treat a severe bleed in an emergency with and without using a bleed control kit, and carry out CPR.

Since the UK-wide rollout began in June, 48 defibrillators have already been activated demonstrating the importance of the initiative.

Mandy Beech, Director of Retail Services at Nationwide, said: “Our research shows people in Scotland value having local access to life-saving equipment, but many wouldn’t feel confident using it in an emergency.

That’s why we’re not just installing defibrillators and bleed kits. Every Nationwide branch colleague in Scotland has the opportunity to receive first-aid training, and we’re working with St John Scotland to help more people gain the skills that could help save a life.”

Professor Andrew Hartle, Chief Medical Officer at St John Ambulance, said: “Every minute counts in an emergency, and having access to a defibrillator or bleed control kit can make a vital difference before the ambulance service arrives.

“By increasing the availability of this life-saving equipment and giving more people the confidence to use it, we can help communities be better prepared to respond when it matters most.

“We’re proud to be working with Nationwide and Visa on an initiative that is helping put the power of first aid into more people’s hands.”

Jenny Young, MSP for Central and Scotland Lothians West, said: “Following my recent visit to Nationwide Livingston, I’ve been really impressed by the ways James and his branch team are supporting people in the local community

“The installation of defibrillators and bleed kits at the branch can only be a good thing for the area and I am sure it will help increase people’s awareness of their purpose, and their life-saving potential.”

Taking medication this summer? What you need to know about sun and heat exposure

Some medicines can make you more sensitive to the sun or increase the risk of dehydration without you realising it. The MHRA is encouraging people to know the risks and stay protected this summer.

People taking certain prescription or over‑the‑counter medicines are being reminded to take extra care in warmer weather, as some treatments can make it harder for the body to stay hydrated, regulate temperature, or cope with sun exposure. 

The advice is part of the Medicines and Healthcare products Regulatory Agency’s (MHRA) ‘Summer-proof your health’ campaign, which highlights practical steps people can take to use medicines and medical devices safely during warmer months.

Dr Alison Cave, MHRA Chief Safety Officer, said: “Some commonly used medicines can affect the body’s ability to stay hydrated, regulate temperature, or protect itself from sun exposure. 

For example, diuretics, often prescribed for blood pressure or heart conditions, can increase fluid loss and make dehydration more likely. Some antidepressants and antipsychotics can affect the body’s ability to regulate temperature, and medicines such as beta blockers may reduce the body’s response to heat stress. 

“Other treatments can increase sensitivity to sunlight, meaning skin can burn faster or more severely than expected. These include certain antibiotics such as doxycycline and tetracycline, acne treatments like isotretinoin and topical retinoids; and antifungal medicines such as voriconazole. 

Disease-modifying antirheumatic drugs (DMARDs) such as methotrexate and azathioprine, often used to treat conditions including rheumatoid arthritis, psoriatic arthritis and lupus, can also increase photosensitivity.  

“Proton pump inhibitors (PPIs), commonly used to treat acid reflux and heartburn, have also been linked to a very low risk of a lupus-like skin reaction triggered by sun exposure, and common painkillers such as ibuprofen and naproxen may also increase sun sensitivity.” 

“Simple precautions can make a significant difference. Staying hydrated, avoiding the strongest sun during the middle of the day, and using protective clothing and sunscreen can all help reduce risk. 

To reduce the risk of medicine-related problems during the summer, people are encouraged to: 

  • Check the patient information leaflet for advice on sun exposure and hydration. This comes with every medicine and can also be accessed online.  
  • Be aware of signs that the body is struggling in the heat, including dizziness, headaches, unusual fatigue, confusion or reduced urination. Skin that becomes red, sore, blistered or reacts more intensely after sun exposure may also be a sign of increased sensitivity linked to medication. 
  • Do not stop taking prescribed medicines during hot weather without advice. Anyone who is unsure about how their medication may be affected by heat or sunlight should speak to a pharmacist or GP.  

Through the “Summer proof your health” campaign, the MHRA is encouraging people to be aware of the potential risks associated with medicines in warmer weather and to take straightforward steps to stay safe throughout the summer. 

Anyone who suspects they are having a side effect from a medicine is encouraged to talk to their doctor, pharmacist or nurse about it.

People can also report the side effect directly to the MHRA Yellow Card scheme, to help improve the safety of medicines for everyone. You can now use NHS login to create a new Yellow Card account or access an existing one, providing a secure and convenient way to sign in using credentials you may already use across NHS services.